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I would like to perform a thought experiment about partially nationalized healthcare.

How would those of you who choose to answer think about this? All comments welcome.

If the idea of Governement funded healthcare (actual healthcare, not health insurance) provided services in the same way as other emergency services such as police or fire departments, what would be some upsides and downsides?

(The talk usually revolves around cost, and I'm still willing to hear that as it is important, but I'm hoping for other contributions as well)

For example, if free market driven healthcare/insurance was there for both basic health needs, and chronic health needs. While government funded services were available for things like emergency rooms, trauma centers, national emergency situations, disaster zones, etc.

CalebBaeten 4 Apr 17
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Name one thing the government does well.I am Canadian,and we have free government funded Medicare. The medical community has now become more dangerous and more powerful than the Mafia,,i tried going for a back problem i have,and after 9 hours got tired of waiting and left,,,(average waiting time is 22 hours),,we have the worst services, doctors are holding the poeple and government officials "hostage",, here's another example,,, my 25 yr old daughter went to see a doctor for mental health issues,in early October, doctors said she has to see a psychiatrist,but first she needs a prescription from a family doctor (which she and most people don't have),,now she's on a waiting list to have a family doctor, when and if she does then she will have a prescription for a psychiatrist,,its simply crazy,,we have 1 administrator for 2.5 employees France has 1 for 40 something,,long story short,she still hasn't found a family doctor,,and the waiting period can take up to 5 years,,, I'm in Quebec, which is probably worst, because we have the most corrupt government (especially medical branch)in all of North America,and maybe the world ???

I left Canada fifteen years ago, but what you describe is how it was then as well. I wrote a college paper about the rise of private cash healthcare in Canada. I remember a few places in Toronto doing well while I still lived there.

These are the exact problems that our US politicians pushing for nationalized healthcare never want to talk about. Unfortunately we have a large number of people, predominantly younger, who don't WANT to hear this kind of information either. There is a real fear here that we will soon lose what has made US medicine very good in many ways.
Is there room for improvement? Oh yes. That is what I am hoping to learn more about with this thread. What are the best/worst parts of systems, and what can be taken/modified/dropped to make a better system.
Thanks for contributing to the discussion.

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Thanks to everyone who has been able to participate so far. The comments have been great, I look forward to when I have time to sit down with all of them.

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Finland tried that and it is bust. You cannot tax yourself into any sort of prosperity.

They tax cigarettes and sugary foods to incentivize people to stay away from them. What are they doing then when they want to over tax your wages?

@Mickey Trying to tax yourself into prosperity is like standing in a bucket and trying to lift it.Taxing is never the answer. You soon run out of big fish to steal from.

The only answer is the free market in the entire system and allow only market forces control pricing, not the Cronyism people think is a free market today.

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Partially nationalizing healthcare is worth talking about. Maybe there's something in there that works--as long as the conversation includes insurance/judicial reform. Personally, I think if we actually beat on the insurance industry, it would probably fix most of the problems. If we added sensible judicial reform, that's gravy.

As I said elsewhere, I don't think the police and fire services comparison works due to scale. The scale of nationalized healthcare is enormous--literally every citizen accesses healthcare. But, how many people actually, functionally access police and fire services? Not that many, relatively speaking. It's manageable. Healthcare is a nation-crushing bohemoth.

@EdNason, fair enough. What do you think about police and fire services? Do you think they should be privatized? Or, are they working well enough? There are always problems, so there probably isn't a perfect fix for anything.

The insurance industry is a great example of a terrible problem in capitalism. Do you remember why the industry started? They provide ZERO healthcare, but siphon off a ton of the money from healthcare. My insurance was $7,000 in premiums with a $7000 deductible. I haven't spent $14000 on healthcare in the last 30 years, let alone 1 year. Now, obviously that's not all profit to the insurance company since I have to overpay for people who don't pay anything to have healthcare. BUT, insurance industry ceos are making many millions of dollars per year, and they're not the only ones. Follow the money. It's astounding. All while, so many doctors are being pinched they're going out of business, and that's after they tried raising their prices so they could counter the cuts the insurance industry imposed on them. Premiums are skyrocketing. Look at how much we pay in taxes and in insurance. We all know Government is bad, but capitalism with no social responsibility is also bad. I depart from the Republicans on this topic. I don't believe runaway greed is good for society at any level. Don't get me wrong, socialism is just as greedy and just as elite. They're selling an illusion. But, I'd like to think my conservative friends will drop the illusion that greed is god--err, I mean good.

Something's not working?

@EdNason, sensible responses. And, I don't see anything I disagree with. But, we didn't really address the system is NOT working right now. It's not working, so we presumably look to do SOMETHING differently. I also think the market is the solution, but NOT the market on steroid-greed. Somewhere in there is a reasonable answer. But, between the single payer lobby and the insurance lobby, the conversation isn't even happening. When you pay for a $2500 dollar bed per day in a hospital, that's not healthcare you're paying for. You're paying for the bureaucracy of healthcare and you're paying for SOMEONE'S greed. Until the capitalist side addresses that problem, people on the left aren't going to listen.

You know, another problem is housing insurance cost in the corporate world. It's like this 'entitlement' in people's heads, but it's not. IT'S SALARY. It's part of your compensation package. So, it's not the businesses who are paying for the insurance--it's the employees. They just don't realize it because they've been snowed. The whole system is botched. It seems like we could simply go back in history to a time when it worked and copy THAT, but then it would require the greedy to turn loose of their grip on everyone's money. Healthcare is a real problem, but who is REALLY prepared to fix it? Not the republicans, not the democrats, not Trump--Nobody really wants to fix it, except Americans who loathe conflict so much they'll serve cruel masters.

I agree that the police, etc. analogy is not a good one for that very reason, but I was reading a post elsewhere with that argument so I brought it here for actual intelligible discussion.

I do have to wonder if restricting Gov involvement in this to just the more emergency related situations would work or not. If so, I wonder how restrictive it would need to be before it gets to that level of involvement where the police, fire fighter analogy would work. Would it be restructuring ambulance services? Types of care available at Gov run institutions? Is it something that could never work?

Thanks for participating in this with me.

Beating the insurance industry will absolutely make things better, but they'll just pay off whoever is hitting them hardest.

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